The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh
[ID:1329] From: Dr John Mudie (Moodie) / To: Dr William Cullen (Professor Cullen) / Regarding: Mr Fullerton (Patient), Anonymous (Patient) / 30 December 1776 / (Incoming)
Letter from John Mudie regarding the case of an unnamed female patient aged forty-nine, who suffers bouts of delirious speaking which may ebe associated with the cessations of her menses; she also has piles and toothache.
- Facsimile
- Normalized Text
- Diplomatic Text
- Metadata
- Case
- People
- Places
Facsimile
There are 4 images for this document.
[Page 1]
[Page 2]
[Page 3]
[Page 4]
Metadata
| Field | Data |
|---|---|
| DOC ID | 1329 |
| RCPE Catalogue Number | CUL/1/2/427 |
| Main Language | English |
| Document Direction | Incoming |
| Date | 30 December 1776 |
| Annotation | None |
| Type | Authorial original |
| Enclosure(s) | No enclosure(s) |
| Autopsy | No |
| Recipe | No |
| Regimen | No |
| Letter of Introduction | No |
| Case Note | No |
| Summary | Letter from John Mudie regarding the case of an unnamed female patient aged forty-nine, who suffers bouts of delirious speaking which may ebe associated with the cessations of her menses; she also has piles and toothache. |
| Manuscript Incomplete? | No |
| Evidence of Commercial Posting | Yes |
Case
Cases that this document belongs to:
| Case ID | Description | Num Docs |
|---|---|---|
| [Case ID:562] |
Case of an unnamed female patient, aged forty-nine, with various symptoms, including bouts of delirious speech, partly associated with a cessation of her menses, but she also has blind piles and toothache. |
4 |
| [Case ID:2150] |
Case of Mr Fullerton, a former patient of Cullen's, who has recovered well. |
1 |
People linked to this document
| Person ID | Role in document | Person |
|---|---|---|
| [PERS ID:1646] | Author | Dr John Mudie (Moodie) |
| [PERS ID:1] | Addressee | Dr William Cullen (Professor Cullen) |
| [PERS ID:1647] | Patient | |
| [PERS ID:1644] | Patient | Mr Fullerton |
| [PERS ID:1646] | Patient's Physician / Surgeon / Apothecary | Dr John Mudie (Moodie) |
| [PERS ID:1] | Patient's Physician / Surgeon / Apothecary | Dr William Cullen (Professor Cullen) |
Places linked to this document
| Role in document | Specific Place | Settlements / Areas | Region | Country | Global Region | Confidence |
|---|---|---|---|---|---|---|
| Place of Writing | Montrose | East Highlands | Scotland | Europe | certain | |
| Destination of Letter | Edinburgh | Edinburgh and East | Scotland | Europe | certain | |
| Place of Handstamp | Montrose | East Highlands | Scotland | Europe | certain |
Normalized Text
The following is the Case of a Patient of mine
and I beg you will favour me with your Advice about Her as
Soon as you can conveniently.
A Lady aged 49, never married, of a healthy tho not Strong
Constitution about two years ago began to have her Menses
irregularly, turned puffy, unweildly and more bulky par¬
ticularly in the Trunk of her Body. Last Summer she was
Seized with a Drowsiness and was with Difficulty kept
from Sleeping even in Company; and for a twelve month past
she has had pains, now and then, in the lower parts of Her
Belly and about the Extremity of her Rectum, was costive,
and often found Ease from a gentle Looseness or a Return of Her
Menses. Her Appetite and Strength failed. I was called to
Her about six weeks ago, when Her Complaints, were, besides
most of the Ailments abovementioned, the more especially the Pains
in the lower parts of Her Belly with a frequent and ineffectual
Inclination to go to Stool, Want of Appetite, often drowsy, but
cou'd not ↑then↑ Sleep, Want Weakness, was costive and at times had
pain in making Water. Her Pulse rather feeble and about 84 in the
Minute. There were Marisca about her Anus and her Symp¬
toms seemed to me to indicate the blind-piles likewise. I ordered
Leeches to the tubercles, Steams of warm Water, Emollient Poultices
and Clysters with Small Doses of Lenitive Electuary mixt with Cream of Tartar
to keep her open in the Belly. A Mild Diet and Regimen was enjoined.
[Page 2]
By these Means the Pains were eased & a Swelling that affected
Her Belly was removed. Three Weeks ago she began to Speak
more than usual, particularly in the Evening, Her Pulse became
quicker and in some Days after she talked incoherently for a
few Hours of the 24, but returned again to Her natural sedate
settled State. -- The Delirium continued, and ten or 12 Days ago
a Blister was put to her Head, which is still kept running by
Epispastic Ointment. - Her Symptoms at present are the
Delirium which returns, once a Day, ↑sometimes↑ once in 2, 3, or 4 Days,
continues for several Hours, and then leaves Her faint and Weak.
Pains sometimes affect Her Back and Belly, and frequently
she is distressed with the Tooth-Ach, but complains of no Pain
when attacked with the Delirium. Her Pulse feeble and
from 96, to 100, in the Minute; it is no way changed during the
Fits of Delirium as to Quickness, but it is rather stronger and fuller
then. Her tongue moist and clean, makes Water easily but
rather in small Quantity. It is of the Colour of very pale small Beer
and deposites a Copious brown Coloured chalky like Sediment. She
has no considerable Heat or Thrift & is kept lax with the Electuary.
Some Nights she sleeps pretty well, but in general is restless. The
Drowsiness has left her for some Weeks. When Her Pulse turned
quicker all Animal diet and fermented Liquors were forbid.
She had a Return of her Menses about a fortnight ago and thought
Herself eased by the Evacuation for a Day or two. -
Enclosed in this is 2 Guineas Notes for your Fee.
[Page 3]
Your late Patient Mr Fullerton is now pretty well
recovered. A regular Regimen was of Use to Him.
I am with the greatest Respect
Dear Sir
Your most obedient
most Humble Se[rvant]
[Page 4]
Doctor Cullen
Physician in
Edinburgh
Dr Mudie
30th December 1776
VVI p. 80. 101
Dr Mudie
1777 1
Notes:
1: This early annotation may reflect someone working to an older tradition, only officially abandoned on 1751, in which the new year began on 25 March.
Diplomatic Text
The following is the Case of a Patient of mine
and I beg you will favour me with your Advice about Her as
Soon as you can conveniently.
A Lady aged 49, never married, of a healthy tho not Strong
Constitution about two years ago began to have her Menses
irregularly, turned puffy, unweildly and more bulky par¬
ticularly in the Trunk of her Body. Last Summer she was
Seized with a Drowsiness and was with Difficulty kept
from Sleeping even in Company; and for a twelve month past
she has had pains, now and then, in the lower parts of Her
Belly and about the Extremity of her Rectum, was costive,
and often found Ease from a gentle Looseness or a Return of Her
Menses. Her Appetite and Strength failed. I was called to
Her about six weeks ago, when Her Complaints, were, besides
most of the Ailments abovementioned, the more especially the Pains
in the lower parts of Her Belly with a frequent and ineffectual
Inclination to go to Stool, Want of Appetite, often drowsy, but
cou'd not ↑then↑ Sleep, Want Weakness, was costive and at times had
pain in making Water. Her Pulse rather feeble and about 84 in the
Minute. There were Marisca about her Anus and her Symp¬
toms seemed to me to indicate the blind-piles likewise. I ordered
Leeches to the tubercles, Steams of warm Water, Emollient Poultices
and Clysters with Small Doses of Lenitive Electuary mixt with Cream of Tartar
to keep her open in the Belly. A Mild Diet and Regimen was enjoined.
[Page 2]
By these Means the Pains were eased & a Swelling that affected
Her Belly was removed. Three Weeks ago she began to Speak
more than usual, particularly in the Evening, Her Pulse became
quicker and in some Days after she talked incoherently for a
few Hours of the 24, but returned again to Her natural sedate
settled State. -- The Delirium continued, and ten or 12 Days ago
a Blister was put to her Head, which is still kept running by
Epispastic Ointment. - Her Symptoms at present are the
Delirium which returns, once a Day, ↑sometimes↑ once in 2, 3, or 4 Days,
continues for several Hours, and then leaves Her faint and Weak.
Pains sometimes affect Her Back and Belly, and frequently
she is distressed with the Tooth-Ach, but complains of no Pain
when attacked with the Delirium. Her Pulse feeble and
from 96, to 100, in the Minute; it is no way changed during the
Fits of Delirium as to Quickness, but it is rather stronger and fuller
then. Her tongue moist and clean, makes Water easily but
rather in small Quantity. It is of the Colour of very pale small Beer
and deposites a Copious brown Coloured chalky like Sediment. She
has no considerable Heat or Thrift & is kept lax with the Electuary.
Some Nights she sleeps pretty well, but in general is restless. The
Drowsiness has left her for some Weeks. When Her Pulse turned
quicker all Animal diet and fermented Liquors were forbid.
She had a Return of her Menses about a fortnight ago and thought
Herself eased by the Evacuation for a Day or two. -
Enclosed in this is 2 Guineas Notes for your Fee.
[Page 3]
Your late Patient Mr Fullerton is now pretty well
recovered. A regular Regimen was of Use to Him.
I am with the greatest Respect
Dear Sir
Your most obedient
most Humble Se[rvant]
[Page 4]
Doctor Cullen
Physician in
Edinburgh
Dr Mudie
30th Dec.r 1776
VVI p. 80. 101
Dr Mudie
1777 1
Notes:
1: This early annotation may reflect someone working to an older tradition, only officially abandoned on 1751, in which the new year began on 25 March.
XML
XML file not yet available.
Feedback
Send us specfic feeback about this document [DOC ID:1329]
Please note that the Cullen Project team have now disbanded but your comments will be logged in our system and we will look at them one day...
